Active NPI
Caryl L Hearst, PSY D
- Clinical Psychologist
- Longmont, CO
National Provider Identifier
1235101007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1251
- Practice address
- 1707 N Main St
Suite 404
Longmont, CO 80501 - Phone
- (303) 744-7410
- Fax
- (303) 776-7693
- NPI assigned
- Feb 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1251 | CO | Primary |
Addresses
Primary practice location
1707 N Main St
Suite 404
Longmont, CO 80501
Mailing address
1707 N Main St
Suite 404
Longmont, CO 80501
Phone (303) 744-7410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 6, 2012 through Feb 6, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1251 | CO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1235101007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 N MAIN ST",
"address_2": "SUITE 404",
"city": "LONGMONT",
"state": "CO",
"postal_code": "80501",
"telephone_number": "303-744-7410",
"fax_number": "303-776-7693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 N MAIN ST",
"address_2": "SUITE 404",
"city": "LONGMONT",
"state": "CO",
"postal_code": "80501",
"telephone_number": "303-744-7410",
"fax_number": "303-776-7693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARST",
"first_name": "CARYL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PSY D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "1251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.